TX NURSING HOME ADMINISTRATOR
LICENSE PRACTICE TEST 2026 WITH 250
LATEST EXAM QUESTIONS AND CORRECT
ANSWERS/ TEXAS NURSING HOME
ADMINISTRATOR 2026 EXAM PREP GUIDE
(LATEST!)
When must the initial assessment be completed? - ANSWER-Within 7 days of
admission
Drugs that are to be stored at room temperature should be stored at what
temperature? - ANSWER-59F to 86F
the dentist provide in-service for the staff? - ANSWER-Annually
How often must humidifier bottles be changed or sterilized? - ANSWER-Q24
Hours (Every 24 hours)
With what may a humidifier be filled? - ANSWER-Water that is sterile
distilled, deionized or demineralized.
When should resident call lights be answered? - ANSWER-Promptly
All patients are to be assisted and encouraged to maintain? - ANSWER-The
highest level of self-care and independence
All of the following are considered restraints (unless used for postural support)?
- ANSWER-Soft Ties, Seat Belts, Spring Release Trays, and Cloth Vests
How long may treatment restraints be used? - ANSWER-ONLY for the time
required to complete the treatment.
The planned menu may repeat less than what time frame? - ANSWER-Every 3
weeks
When must drugs be destroyed? - ANSWER-90 Days
,The food service supervisor must complete a what type of course? - ANSWER-
90 Hour
How often must care plans be completed? - ANSWER-Quarterly
How often must
How often must the menu be revised? - ANSWER-Q90 Days (every 3 months)
A doctor must be notified for what weight gain in a 30 period? - ANSWER-
5lbs.
How must washbasins be sanitized? - ANSWER-30 minutes in boiling water,
autoclave, or gas sterilization (not to be cleaned with chemicals)
How much food should be kept on hand? - ANSWER-Nonperishable food 1
weeks’ worth, Staples 2 days’ worth
At what temperature should readily perishable foods be stored? - ANSWER-
Below 45 degrees or over 140 degrees
How long should utensils be disinfected (after washing with soap) by
immersion in clean water? - ANSWER-2 Minutes at 170F; 30 seconds at 180F;
or in water containing bactericidal chemical (at least 110F)
What is the minimum dishwashing water temperature? - ANSWER-110F
At what specifications should an autoclave function? - ANSWER-15 pounds
pressure, 250F, 20 minutes
The Dietary Manual must be review how often? - ANSWER-Annually
The Dietary Manual must be revised how often? - ANSWER-Every 5 Years
Drugs ordered Stat in 1 hours must be given how soon? - ANSWER-2 Hours
Maximum
How must Glass Thermometers be cleaned? - ANSWER-With 70% alcohol for
minimum of 10 minutes
How long must Drug Order records be kept? - ANSWER-1 Year
,How long must Drug Destruction records be kept? - ANSWER-3 Years
How long is 1 hour of learning experience? - ANSWER-50 Minutes
How many hours of orientation must a C.N.A. have prior to providing care? -
ANSWER-8 Hours
When must a patient’s money be returned if they expire? - ANSWER-30 days
after death.
When must prepaid room and board be returned upon discharge? - ANSWER-
Within 2 weeks
Are nurses progress notes necessary? - ANSWER-Yes
How long must a bed be held should a patient go to an acute care facility? -
ANSWER-7 Days
What is the minimum amount of light required for reading in a patient room? -
ANSWER-30 ft candles
What is the minimum amount of light required in nonreading areas of patient
room? - ANSWER-20 ft. candles
How often must drinking water be tested? - ANSWER-Every 3 Months
How often must Ice be tested? - ANSWER-Every Month
What is the minimum width of handicap parking spaces? - ANSWER-13 Feet
What is the acceptable height range for hand rails? - ANSWER-34 Inches to 38
inches high
What is the maximum height of the bottom of the window in a patient room? -
ANSWER-36 Inches
Curtains must be how many inches below fire sprinklers? - ANSWER-18
Inches
How often must the autoclave be tested? - ANSWER-Monthly
, How often must the autoclave thermometer be tested? - ANSWER-Weekly
When must DHS (Department of Health Services) be notified of construction? -
ANSWER-Within 5 Days
Hot water for resident use must be how hot? - ANSWER-Between 105F and
120F
A warning sign must be posted if water from a faucet is over what temperature?
- ANSWER-125F (Sign must be at least 2-inch-high letters)
When must a C.N.A.'s training be completed? - ANSWER-Within 4 months
How many wires per square inch must a bug screen have? - ANSWER-16
Wires per square inch
How often must residents be weighed? - ANSWER-Monthly
When must an admission evaluation be performed? - ANSWER-From 5 days
prior to 48 hours after admission.
How many hours of orientation must a C.N.A. have during their first 40 hours
worked? - ANSWER-16 Hours
What is the annual renewal fee for the C.N.A.'s certificate? - ANSWER-20
How long must Employee health records be kept? - ANSWER-3 years
How long must patient records be kept? - ANSWER-7 years (title 22); 5 years
OBRA
How often must the Patient Care Policy committee meet? - ANSWER-Annually
How long must the unusual occurrence reports (24-hour reports) be kept? -
ANSWER-One Year
What documentation is required for the HVAC system? - ANSWER-Written
Manual
LICENSE PRACTICE TEST 2026 WITH 250
LATEST EXAM QUESTIONS AND CORRECT
ANSWERS/ TEXAS NURSING HOME
ADMINISTRATOR 2026 EXAM PREP GUIDE
(LATEST!)
When must the initial assessment be completed? - ANSWER-Within 7 days of
admission
Drugs that are to be stored at room temperature should be stored at what
temperature? - ANSWER-59F to 86F
the dentist provide in-service for the staff? - ANSWER-Annually
How often must humidifier bottles be changed or sterilized? - ANSWER-Q24
Hours (Every 24 hours)
With what may a humidifier be filled? - ANSWER-Water that is sterile
distilled, deionized or demineralized.
When should resident call lights be answered? - ANSWER-Promptly
All patients are to be assisted and encouraged to maintain? - ANSWER-The
highest level of self-care and independence
All of the following are considered restraints (unless used for postural support)?
- ANSWER-Soft Ties, Seat Belts, Spring Release Trays, and Cloth Vests
How long may treatment restraints be used? - ANSWER-ONLY for the time
required to complete the treatment.
The planned menu may repeat less than what time frame? - ANSWER-Every 3
weeks
When must drugs be destroyed? - ANSWER-90 Days
,The food service supervisor must complete a what type of course? - ANSWER-
90 Hour
How often must care plans be completed? - ANSWER-Quarterly
How often must
How often must the menu be revised? - ANSWER-Q90 Days (every 3 months)
A doctor must be notified for what weight gain in a 30 period? - ANSWER-
5lbs.
How must washbasins be sanitized? - ANSWER-30 minutes in boiling water,
autoclave, or gas sterilization (not to be cleaned with chemicals)
How much food should be kept on hand? - ANSWER-Nonperishable food 1
weeks’ worth, Staples 2 days’ worth
At what temperature should readily perishable foods be stored? - ANSWER-
Below 45 degrees or over 140 degrees
How long should utensils be disinfected (after washing with soap) by
immersion in clean water? - ANSWER-2 Minutes at 170F; 30 seconds at 180F;
or in water containing bactericidal chemical (at least 110F)
What is the minimum dishwashing water temperature? - ANSWER-110F
At what specifications should an autoclave function? - ANSWER-15 pounds
pressure, 250F, 20 minutes
The Dietary Manual must be review how often? - ANSWER-Annually
The Dietary Manual must be revised how often? - ANSWER-Every 5 Years
Drugs ordered Stat in 1 hours must be given how soon? - ANSWER-2 Hours
Maximum
How must Glass Thermometers be cleaned? - ANSWER-With 70% alcohol for
minimum of 10 minutes
How long must Drug Order records be kept? - ANSWER-1 Year
,How long must Drug Destruction records be kept? - ANSWER-3 Years
How long is 1 hour of learning experience? - ANSWER-50 Minutes
How many hours of orientation must a C.N.A. have prior to providing care? -
ANSWER-8 Hours
When must a patient’s money be returned if they expire? - ANSWER-30 days
after death.
When must prepaid room and board be returned upon discharge? - ANSWER-
Within 2 weeks
Are nurses progress notes necessary? - ANSWER-Yes
How long must a bed be held should a patient go to an acute care facility? -
ANSWER-7 Days
What is the minimum amount of light required for reading in a patient room? -
ANSWER-30 ft candles
What is the minimum amount of light required in nonreading areas of patient
room? - ANSWER-20 ft. candles
How often must drinking water be tested? - ANSWER-Every 3 Months
How often must Ice be tested? - ANSWER-Every Month
What is the minimum width of handicap parking spaces? - ANSWER-13 Feet
What is the acceptable height range for hand rails? - ANSWER-34 Inches to 38
inches high
What is the maximum height of the bottom of the window in a patient room? -
ANSWER-36 Inches
Curtains must be how many inches below fire sprinklers? - ANSWER-18
Inches
How often must the autoclave be tested? - ANSWER-Monthly
, How often must the autoclave thermometer be tested? - ANSWER-Weekly
When must DHS (Department of Health Services) be notified of construction? -
ANSWER-Within 5 Days
Hot water for resident use must be how hot? - ANSWER-Between 105F and
120F
A warning sign must be posted if water from a faucet is over what temperature?
- ANSWER-125F (Sign must be at least 2-inch-high letters)
When must a C.N.A.'s training be completed? - ANSWER-Within 4 months
How many wires per square inch must a bug screen have? - ANSWER-16
Wires per square inch
How often must residents be weighed? - ANSWER-Monthly
When must an admission evaluation be performed? - ANSWER-From 5 days
prior to 48 hours after admission.
How many hours of orientation must a C.N.A. have during their first 40 hours
worked? - ANSWER-16 Hours
What is the annual renewal fee for the C.N.A.'s certificate? - ANSWER-20
How long must Employee health records be kept? - ANSWER-3 years
How long must patient records be kept? - ANSWER-7 years (title 22); 5 years
OBRA
How often must the Patient Care Policy committee meet? - ANSWER-Annually
How long must the unusual occurrence reports (24-hour reports) be kept? -
ANSWER-One Year
What documentation is required for the HVAC system? - ANSWER-Written
Manual
